Antithrombotic Therapy Underutilization in Patients With Atrial Flutter

Abstract

Our study demonstrates that two-third of patients with AFL in South Korea failed to obtain adequate stroke prevention treatment, even in the era of direct OAC availability. This tendency was more profound in women or those on aspirin therapy.

Underuse of oral anticoagulants in privately insured patients with atrial fibrillation: A population being targeted by the IMplementation of a randomized controlled trial to imProve treatment with oral AntiCoagulanTs in patients with Atrial Fibrillation (IMPACT-AFib)

“…Underutilization of OACs in older patients and women has been reported previously; this study shows these trends in practice have persisted and calls for individualized approaches to addressing these disparities. 8,9,23 To that end, it will be important to obtain information from a diverse group of patients by age, sex, and race about what drives their decisions regarding use of an OAC and strategies that may work or not work in specific subgroups of patients.…”

Atrial arrhythmias in chronic lung disease‐associated pulmonary hypertension

“…8 While AF is generally associated with ectopic excitation of the atrium, AFl is associated with a reentrant circuit around the tricuspid annulus. 9 Fig. 1 highlights risk factors for the development of AAs in patients with CLD-PH.…”

“…Chronic hypoxia and chronic right atrial pressure overload, as seen in CLD‐associated PH (CLD‐PH), have been linked with distention and fibrotic remodeling of the right atrium and increased risk for development of AF 8 . While AF is generally associated with ectopic excitation of the atrium, AFl is associated with a reentrant circuit around the tricuspid annulus 9 …”